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2018-2019Pea Ridge Athletic DepartmentStudent-Athlete & Parent Athletic Handbook781 W. Pickens, Pea Ridge, AR 72751Phone: 800-451-0032Fax: 479-431-6093?-19050-57150PEA RIDGE ATHLETIC DEPARTMENT VISION, MISSION, AND BELIEFSPEA RIDGE ATHLETIC DEPARTMENT VISION, MISSION, AND BELIEFSVision Statement: Impacting Lives through Athletic ExcellenceMission Statement: The mission of the Pea Ridge Athletic Department is to enhance the mission of the Pea Ridge School District by supporting student-athletes in their pursuit of excellence and inspiring Champions in athletics, academics, and life. Beliefs:We believe the athletic experience enhances the overall educational experience and supports the overall development of the student.We believe participation in athletics teaches important and valuable traits such as commitment, sacrifice, teamwork, sportsmanship, self-discipline, loyalty, work ethic, and the value of preparation. We believe athletics promotes the mental, social, emotional, and ethical development of student-athletes. We believe participation in athletics is a privilege and not a right.19050299085ATHLETIC DEPARTMENT GOALSATHLETIC DEPARTMENT GOALSGoalsTo develop a desire to excel and be successful.To foster the physical and emotional growth of student athletes.To develop a solid work ethic in our student athletes.To develop a sense of fair play and sportsmanship.To provide positive role models for our student athletes.To emphasize safety in all activities.To promote loyalty and pride in our school and community.left0REQUIREMENTS FOR ELIGIBILITY/TRYOUTS/PARTICIPATION0REQUIREMENTS FOR ELIGIBILITY/TRYOUTS/PARTICIPATIONRemember that as an athlete you are not eligible to participate in any sport until the following items are complete and on file:Physical examination completed and on file in coach’s office.Maintain a 2.0 grade point average for the term prior to the sporting event or meet requirements of the S.I.P. program.The athlete must have on file, a consent form signed by the parent for the drug test.The athlete must have on file a form signed by the legal guardian that they and the athlete have read the handbook and will abide by it.Participants must meet all guidelines established by the Arkansas Activities Association, the Arkansas Department of Education, and Pea Ridge Schools. Due to a limited number of uniforms, it is necessary for students to try out for an athletic team before the student’s schedule reflects an athletic period. ?A student must have the above mentioned items on file before the student is allowed to try out for an athletic team. Additionally, a students behavior will be evaluated.*A tryout does not guarantee an athlete a position on the team. ?38100176530BEHAVIOR AND CITIZENSHIPBEHAVIOR AND CITIZENSHIP?Many observe the conduct of an athlete and it is important that an athlete’s behavior be above reproach. Once you have volunteered to be a member of Pea Ridge Athletics, you have made a commitment to upholding certain standards expected of all athletes. Pea Ridge athletes are expected to follow all rules and regulations found in the student handbook. ?An athlete’s behavior on the field, in the classroom, and in the community should be a positive example for others to follow. Be proud to be an athlete, for it is a privilege, not a right!left188595DRESS POLICYDRESS POLICYA member of an athletic team is expected to be well groomed. ? Appearance, expression and actions always influence people’s opinions of athletes, the team and the school. ?The way an athlete acts and looks is of great importance, thus proper dress, appearance, grooming, and personal cleanliness are expected. Proper dress and appearance will be established by the coach and is an ongoing process. ?2857558420PARENT/PLAYER/COACH COMMUNICATIONPARENT/PLAYER/COACH COMMUNICATION?COMMUNICATION YOU SHOULD EXPECT FROM THE COACH:Locations and time of all practices and contestExpectations the coach has for the players on the teamTeam Requirements: Fees, Special Equipment, Summer Workouts, etc.Player responsibilities and team guidelinesCOMMUNICATION THE COACH SHOULD EXPECT FROM THE ATHLETE:Notification of any scheduling conflicts, in advanceSpecial concerns in regard to the coach’s expectationsIllness and injury information pertinent the athlete’s safetyAPPROPRIATE CONCERNS TO DISCUSS WITH THE COACH:Treatment of the athlete- physically and mentallyWays to help your child improve his/her abilityConcerns about your child’s behaviorCHAIN OF COMMAND PROTOCOL:Player – CoachParent – CoachParent – Athletic DirectorParent – Building PrincipalParent – Superintendent?ISSUES NOT APPROPRIATE TO DISCUSS WITH A COACH:Playing timeTeam strategyPlay callingOther student athletes?There are situations that may require a conference between the coach and the parent. ?These are to be encouraged. ?It is important that both parties involved have a clear understanding of the others position. ?When these conferences are necessary, he following procedure should be followed to help promote a resolution to the issue or concern.?IF YOU HAVE A CONCERN TO DISCUSS WITH A COACH THE CORRECT PROCEDURE TO FOLLOW IS:Call to set up an appointmentThe Pea Ridge High School phone number is 800-451-1343 and the Middle School phone number is 800-451-0692.If the coach cannot be reached within 24 hours, call the Athletic Director, 800-451-0032.Please do not attempt to confront a coach before or after a contest or practice. ?These can be emotional times for both the parent and the coach. ?Meetings of this nature do not promote resolution.*If a satisfactory resolution is not reached, set up an appointment with the Pea Ridge Athletic Director. 1905013335TOBACCO/E-CIGARRETTE VIOLATIONSTOBACCO/E-CIGARRETTE VIOLATIONSStudents in the Pea Ridge School District and who are in the athletic program, who possess, use sell, distribute, or are under the influence of tobacco, tobacco products, or items purported to be tobacco shall be subject to the consequences as defined by Pea Ridge School Board Policy, and the Pea Ridge High School and Middle School Handbooks. Repeat violations of the Pea Ridge tobacco policy may result in dismissal from an athletic team or program.Additional team consequences may be imposed for missing practices or games. 38100146685DRUG AND ALCOHOL VIOLATIONSDRUG AND ALCOHOL VIOLATIONS??STATEMENT OF PURPOSEWhereas, significant information exists to the ever-increasing incidence of drug use and addiction among our youth in society, the Pea Ridge Board of Education has determined that it has a compelling interest in the protection and safety of its students who are involved in interscholastic activities and students that operate a motor vehicle. ?The Board of Education recognized that adolescence is a time when physical harm or injury of a student or others engaged in interscholastic activities and operate a motor vehicle is prevalent. ?The Board further acknowledges that interscholastic activities play an important part in the lives of many students and are significant events in creating the culture and climate of the District. ?The positive lessons learned in the participation of interscholastic activities are beneficial to students, not only during their formative years, but also long after they leave school. ?Interscholastic activities provide students with special opportunities to develop skills and attitudes and to be recognized for their accomplishments. ?Participants in interscholastic activities are considered to be role models by their peers and younger students of the community.?Whereas, participation in interscholastic activities and operating a motor vehicle are elective opportunities, and because of the potential risk of physical and psychological harm to students engaged in drug use, and whereas those who choose to become involved in interscholastic activities are visible representatives of the District, as well as role models, the Pea Ridge Board of Education adopts this resolution as a statement of purpose concerning the drug testing of students who park a motor vehicle on campus or engage in interscholastic activities as a statement of support for such testing.?MISSION STATEMENTThe Pea Ridge School District recognizes that drug abuse is a significant health problem for students, detrimentally affecting overall health, behavior, learning ability, reflexes, and the total development of each individual. ?The Pea Ridge School District is determined to undermine the effects of peer pressure by providing a legitimate reason for students involved in interscholastic activities or operate a motor vehicle to refuse the use of illegal drugs and alcohol; and to be proactive in encouraging students who use drugs to participate in drug treatment programs.?Definitions:DRUGS – any substance considered illegal by Arkansas Statutes or that is controlled by the Food and Drug Administration unless prescribed by a licensed physician or medical practitioner.INTERSCHOLASTIC ACTIVITIES – Any interscholastic activity program in grades 7-12 sponsored by the Arkansas Activities Association and Pea Ridge Public Schools.SCHOOL YEAR – from the first day of classes in the fall, unless the activity begins prior to the first day of classes, in which event from the first day of practice or organized activity through the last day of classes in the Spring.ALCOHOL – any substance containing ethyl alcohol.MOTOR VEHICLE OPERATOR – any student who obtains a parking sticker and is assigned a parking place or area.UNDER THE INFLUENCE OF A CHEMICAL SUBSTANCE – being controlled by or affected by introducing a chemical substance, which causes a student to be visually exhibiting physical manifestations, abnormal physical behavior, diminished motor skills, etc. ?Elevated blood pressure, erratic heart rate, slow pupil reaction may be evaluated by a licensed medical professional. ?Possession is defined as any chemical substance that is on or about your person or personal property.Policy Statement:?Pea Ridge Public School District (“the district”) is conducting a mandatory drug testing program for students. ?Its purpose is:?To provide for the health and safety of students participating in Interscholastic Activities and operate a motor vehicle grades 7-12;To promote and insure the safety and well-being of motor vehicle operators and their passengers;To undermine the effects of peer pressure by providing a legitimate reason for students to refuse to use illegal drugs and alcohol;And to encourage students who use drugs to participate in drug treatment programs.?PROCEDURES FOR STUDENTS?CONSENT: ?Any student wishing to participate in an Interscholastic activity program or park a motor vehicle on school grounds and the student’s custodial parent/legal guardian shall consent in writing to drug testing pursuant to the district’s drug testing program. ?Written consent shall be in the form attached to this policy as FORM A. ?No student shall be allowed to participate in any activity program or park a motor vehicle on campus absent such consent.STUDENT SELECTION: ?At the option of the district, all students in interscholastic activities or motor vehicle operators may be drug tested at the beginning of the school year or at the beginning of the interscholastic activity season. ?In addition, random testing may be conducted weekly, bi-weekly, monthly or quarterly during the school year. ?Selection for random testing will be by lottery drawing from a “pool” of all students who operate a motor vehicle or participate in interscholastic activity programs in the district at the time of the drawing. ?A single test from a student can be required by a principal for reasonable suspicion. ?Any parent may request his/her child’s placement in the lottery regardless of motor vehicle operation or interscholastic activity participation. ?The superintendent shall take all reasonable steps to assure the integrity, confidentiality and random nature of the selection process, including assuring that the names of all participating students are in the pool, assuring that the person drawing the names has no way of knowingly choosing or failing to choose particular students for the testing, assuring that the identity of students drawn for testing is not known to those involved in the selection process, and assuring direct observation of the process by the lease intrusive means possible while assuring brevity and privacy.?SAMPLE COLLECTION:?Samples will be collected at a mutually convenient time on the same day the student is selected for testing or if the student is absent on that day, on the day of the student’s return to school. ?If a student is unable to produce a sample at any particular time, the student will remain with testing personnel until sample is collected. ?All students providing samples will have the option of doing so alone in an individual stall with the door closed. ?Refusal by the student to comply with request for sample will be deemed as non-compliant and, therefore, student will not be allowed to continue to participate in their activities. ?At that point, parent contact will be made to notify them of the student’s non compliance.?TESTING AGENCY:?The district will choose a qualified agency (if necessary) for the purpose of processing sample results and maintaining privacy with respect to test results and related matters. ?**PRESCRIPTION MEDICATION:** Students who are taking prescription medication may provide a copy of the prescription or a doctor’s verification in a sealed envelope to school personnel at the time a sample is collected, or within five (5) business days of notification of a positive result. ?That envelope will be forwarded unopened to a designated Medical Review Officer (MRO) with the sample, with instructions for the MRO to consider the student’s use of such medication to assure the accuracy of the result. ?Such information provided by the student will not be disclosed to any school official. ?Students who refuse to provide verification and test positive will be subject to the actions specified below for “positive tests.”?SCOPE OF TESTS:?The testing lab will be instructed to test for one or more illegal drugs. ?The District shall decide which illegal drugs shall be screened, but in no event shall that determination be made after selection of students for testing. ?Student samples will not be screened for the presence of any substances other than an illegal drug or for the existence any physical condition other than drug intoxication.LIMITED ACCESS TO RESULTS:?Only the superintendent or his designee will be notified when double confirmation of a positive test is received.?PROCEDURE IN THE EVENT OF A POSITIVE TEST:?Whenever a student’s test result indicates the presence of illegal drugs (“positive test”), the following will occur:A split sample of the original sample provided by the student will be forwarded to a referral laboratory other than the initial sample testing agent and the results of the split sample test will be forwarded to a designated MRO for confirmation.If the split sample of tests negative, the student will be notified and no further action will be taken. ?If the split sample tests positive, a custodial parent or legal guardian will be notified and a meeting will be scheduled with the superintendent or his/her designee, the student, the custodial parent or legal guardian, and the student’s building principal if the principal is available.?FIRST POSITIVE RESULT:?For a positive result, the student will be placed on probation and not allowed to park a motor vehicle on school grounds or participate in competitions, presentations, and activities of Pea Ridge Public Schools for a period of thirty (30) calendar days. ?The student will be required to attend drug/alcohol counseling, and, if any charge is incurred, it will be the responsibility of the parents/guardian. ?On day thirty-one (31), in order to regain eligibility, the student will be required to be retested (at the expense of the parent/guardian), and show proof of counseling attendance. ?If the test results are found to be negative, the student will again become eligible for interscholastic activities of Pea Ridge Public School and operate a motor vehicle on Pea Ridge Public School grounds. ?However, the student must submit to a mandatory drug screen or lab test on a monthly basis at the expense of the parent or guardian. ?The screening must be conducted by a reputable agency or facility capable of screening for the same substances being screened for by the district. ?The duration of the screening should be determined by the intervention program and will not exceed a maximum of six months.?SECOND POSITIVE TEST IN A CAREER:?For the second positive test in a career, the student will be suspended from parking on campus and interscholastic activities relating to Pea Ridge Public Schools for a calendar year. ?The student will not be able to participate until after the probation period has ended and has provided a negative or clear test.?THIRD POSITIVE TEST:?For the third positive test in a career, the student will be suspended from participating in interscholastic activities and lose parking privileges on Pea Ridge Public School grounds for the remainder of his/her enrollment in the district (May be appealed to the board).?NON-PUNITIVE NATURE OF POLICY:?No student shall be penalized academically for testing positive for illegal drugs. ?The results of a drug tests pursuant to this policy will not be documented in any student’s academic records. ?Information regarding the results of drug tests will not be disclosed to criminal or juvenile authorities, absent legal compulsion by valid and binding subpoena or other legal process, the student and the student’s custodial parent/legal guardian will be notified as soon as possible by the district.?OTHER DISCIPLINARY MEASURES:?The district, by accepting this policy, is not precluded from utilizing other disciplinary measures set forth in the Student Discipline Policy, and this policy does not preclude the district from taking disciplinary action when founded upon reasonable suspicion that a student has participated in drug-related activities.?*Any athlete in possession of or under the influence of drugs and/or alcohol away from school could be suspended from all athletics for a maximum of 365 days. ?This will be at the coach’s discretion. ?The law enforcement agency will be notified of any criminal activity with full cooperation of school official.-9525208915MISSING SCHOOLMISSING SCHOOL???An athlete shall not participate in athletics on the day he/she has been absent from any class without just reason and prior approval from the Principal’s Office. ?If an athlete is too ill to attend class, he/she is too ill to participate in athletics.?19050-95250FELONY VIOLATIONSFELONY VIOLATIONSThe community, school administrators, and the coaching staff feel strongly that high standards of conduct and citizenship are essential in maintaining a sound program of athletics. ?It is our intent to preserve rules that reasonably pertain to the health and safety of students. ?The welfare of the student is our major consideration.?If an athlete is convicted of a criminal act that is a felony, the following disciplinary action will be taken:1st offense: ?The athlete will be dismissed from athletics for the remainder of the season.2nd offense: ?The athlete will be dismissed from athletics for one calendar year.3rd offense: ?The athlete will be dismissed from athletics for the remainder of his/her scholastic career.?027940ATHLETIC DEPARTMENT POLICIESATHLETIC DEPARTMENT POLICIESQUITTING OR TRANSFERRING SPORTS – Quitting is an intolerable habit to acquire. ?There is not a place in athletics for quitters. ?A quitter may lose the privilege of participating in athletics. ?If an athlete quits a sport he/she will not be allowed to start another sport until the season they quit has ended. ?Process of leaving the team will be complete when the following have been completed.Athlete must meet with coach.Check in all equipment issued to you.All outstanding financial obligations shall be paid by student-athlete prior to moving to next sport. Special circumstances that may arise will be addressed by the athletic director.?EQUIPMENT – School equipment checked out by the student athlete is his/her responsibility. ?He/she is expected to keep it clean and in good condition. ?Loss of any equipment is the athlete’s financial obligation.?MISSING PRACTICE – An athlete should always consult his/her coach before missing practices. ?Missing practice or a game without having a reason will be dealt with severely. ?Sudden illness or an emergency would be a good reason for missing a practice or game.?TRANSPORTATION – Athletes will remain with their squad and under the supervision of their coach when attending away games. ?All regular school bus rules will be followed, including: food, noise, remaining in seats, care and respect for equipment. ?Emergencies will be cleared by the Athletic Director. ?With prior written approval from a parent or legal guardian, an athlete may be allowed to ride home with another family member ONLY.?CONFLICTS IN EXTRA-CURRICULAR ACTIVITIES – An individual student who attempts to participate in too many extra-curricular activities will undoubtedly, be in a position of a possible conflict of obligation. ?The athletic department recognizes that each student should have the opportunity for a broad range of experiences in the area of extra-curricular activities, and to this end, will attempt to schedule events in a manner to minimize conflicts. ?Students have a responsibility to do everything they can to avoid continuous conflicts. ?This would include being cautious about belonging to too many activities where conflicts are found to happen. ?It also means notifying the faculty sponsors involved immediately when a conflict arises. ?School related activities will take precedence over non-school sponsored activities. ?When conflicts arise, the sponsors will get together and work out a solution so the student does not feel in the middle. ?If a solution cannot be found, then the principal will have to make the decision based on the following:The relative importance of each event.The importance of each event to the student.The relative contribution the student can make.How long each event has been scheduled.Parental preference.?Once the decision has been made and the student followed that decision, the faculty sponsor will not penalize him in any way. ?If it becomes obvious that a student cannot fulfill the obligation a school activity has, he/she should withdraw from that activity.?PROCEDURES FOR DISMISSAL OF ATHLETES FROM A TEAMAthletics is a privilege not a right. In the event an athlete is dismissed from a team, a parent meeting will be held to discuss the dismissal. Suspension of athlete will involve a parent conference about the athlete’s behavior and why the athlete is being suspended from the team and for how many games the athlete is suspended. ?The athlete will practice during this time with additional physical activities after practice. ?The coach will document in writing the date and time of the conference and give a brief statement as to why the athlete was put on suspension. ?Written notification will be given to the athlete to take home. ??The coach reserves the right to punish behavior which is subversive to good order and discipline in athletics.left252730BULLYING, HAZING, AND HARRASSMENTBULLYING, HAZING, AND HARRASSMENTAny form of bullying, hazing, and/or harassment will not be tolerated, whether adult to adult, adult to student, or student to student. If this occurs to a student-athlete, he/she should report this immediately to their building administration or coach. Student-athletes committing the offense may be subject to disciplinary measures including but not limited to suspension or dismissal from the team for the remainder of the season, and from the athletic program for an entire school year. This may be in addition to the regular discipline that he/she is subject to according to school board disciplinary guidelines. left10795SOCIAL MEDIASOCIAL MEDIA?All stakeholders in the athletic program (coaches, student-athletes, parents) should realize that different forms of social media may be used to communicate program information. These may include, but not be limited to FaceBook, Twitter, Snapchat, personal websites, etc… Student athletes should understand that these platforms are worldwide and can be monitored by anyone, including current and future employers, colleges/universities, and prospective coaches who may be recruiting an athlete. Student-athletes must understand that any content they make public via on-line social networks or digital platforms is expected to follow acceptable social behaviors and also to comply with federal/state government, Pea Ridge School District handbooks, and AAA rules and regulations. SOCIAL MEDIA GUIDELINES FOR STUDENT-ATHLETESThese guidelines are intended to provide a framework for student-athletes to conduct themselves safely and responsibly in an online environment. As a student-athlete at Pea Ridge, you should:Be careful with how much and what kind of identifying information you post on networking sites. Be aware that potential current and future employers and college admissions offices often access information you post on these online social networking sites.Be careful in responding to unsolicited emails asking for passwords or PIN numbers.Do not have a false sense of security about your rights to freedom of speech. Understand that freedom of speech is not unlimited. Remember, once a photo is placed on a social network site’s server, it becomes their property. Think long and hard about what type of photo you want to represent you. THINGS STUDENT-ATHLETES SHOUD AVOID:Derogatory language or remarks about teammates or coaches; other Pea Ridge student-athletes, teachers, coaches; student-athletes, coaches, administrators, or representatives of other schoolsDemeaning statements about or threats to any third party.Incriminating photos or statements depicting violence; hazing; sexual harassment; vandalism; stalking; underage drinking, selling, possessing, or using controlled substances; or any other inappropriate behaviors.Creating a serious danger to the safety of another person or making a credible threat of serious physical or emotional injury to another person.*Student-athletes who misuse any form of social media may be subject to disciplinary action. left-320040NORTHWEST HEALTH SPORTS MEDICINENORTHWEST HEALTH SPORTS MEDICINEAthletic Trainer – Jamie Mann – 800-451-1343 ext. 5604I understand that Northwest Health Sports Medicine Athletic Trainers may provide healthcare to student athletes. ?This includes evaluating, treating, and giving over the counter medication to the athlete. ?It may be necessary to share healthcare related information with the physicians, coaching staff and the school administration. ?I authorize Northwest Health Sports Medicine Athletic Trainers to share, when necessary, healthcare-related information with the physicians, coaching staff and school administration. The time may arise when your child may need to take medication for some minor ache, pain, or for fever over 100 degrees. Dosage is based on recommended age and weight of your child. I authorize the athletic trainer to administer medications such as Antacid-plain, Chloraseptic throat spray, Ibuprofen, Acetaminophen (generic Tylenol), and anti-nausea liquid (Pepto Bismol). ?left116205AAA INFORMATION ?- ELIGIBILITYAAA INFORMATION ?- ELIGIBILITY??The following information comes directly from the Arkansas Activities Association Handbook regarding student eligibility:?INTRODUCTIONParticipation in competitive interscholastic activities as a part of a school’s educational program is a privilege and not a right. ?The eligibility rules of this association are designed to promote the educational values derived from participation in interscholastic activities, prevent exploitation of youth by special interest groups and to ensure that interscholastic activities shall remain an integral part of the educational program. ?Students wishing to participate in interscholastic activities shall have the opportunity to become eligible for these activities when they meet All eligibility rules. ?They will remain eligible for the opportunity to participate provide they do not:Exceed any limitations,Fail to meet any minimums, orViolate any other rules of the association.?They may, however, regain their opportunity ot participate at a later date by correcting any deficiencies, which caused the ineligibility. ?NOTE: ?Students who exceed the junior high age rule or junior high semester rule limitations shall have the opportunity to be eligible for senior high activities. ?NOTE: ?Students who exceed the senior high age rule or the senior high semester rule limitations shall have no further opportunity to be eligible.?Eligibility rules apply to students in grades 7-12 inclusive; specific rules for junior high schools apply to students in grades 7-9 inclusive; specific rules for senior high schools apply to students in grades 9-12 inclusive. ?In the rules that follow, the singular includes the plural and the plural includes the singular as the context requires or permits. ?Where appropriate, personal pronouns refer to either gender.?Rule 1. RESIDENCE:?A student’s eligibility for interscholastic athletics shall be in the public school district of the parent’s residence. ?Refer to other residence and transfer rules for limitations and situations. ?The AAA recognizes only one residence for eligibility. ?A change in residence consists of a complete and bona fide move from one domicile to another.A student may meet the residence requirement to another AAA member school after attending said member school for one calendar year (365 days from initial enrollment).A student shall also meet the residence requirement if the student receives a legal transfer from one public school to another (release and acceptance respectively by the boards of both schools). ?Transfers must take place prior to Labor Day.Member schools accredited by the Arkansas Nonpublic School Accrediting Association shall be required to have student eligibility boundaries which will be limited to the county in which the school resides and/or a 25-mile radius of the school. ?Students who live outside the boundaries may participate in all AAA sanctioned athletic events as long as they have been enrolled in the nonpublic school before Labor Day of the 10th grade year. ?Those enrolling after Labor Day of their 10th grade year may not participate in the interscholastic athletics for 365 days from the first day of their enrollment.??LEGAL ATTENDANCE:?A student’s eligibility for interscholastic athletics with respect to the residence rule may be in the public school that the student is legally attending at the beginning of the fall semester, provided attendance is not for athletic purposes. ?Refer to other residence and transfer rules for additional limitations and situations.?Rule 3. ?RECRUITMENT.?Recruitment of an athlete by anyone is expressly prohibited by the Arkansas Activities Association. ?A student transferring or attempting to transfer from one school to another due to recruitment or inducement may be ineligible for interscholastic competition for a period of up to one full year (365 days) from the date of transfer or attempted transfer.A student who is a prospective athlete shall not be offered or accept any inducement, such as free or reduced tuition, employment, books, or any other benefit, other than that which is provided to all students. ?In addition, nonpublic schools should establish a plan, filed with the AAA office and followed, which includes, but is not limited to the following:A statement of philosophy and policy concerning the reduction or waiver of tuition of any other benefit.A procedure used to determine the qualification for waiver or reduction. ?The Princeton School Scholarship Service or its equivalent should be used for determining the amount of waiver or reduction for such students.A description of how the waiving or reducing is equally available and applied to students in similar circumstances; andThe payment of tuition by someone other than a student’s immediate family or an established program must be approved by the AAA Board of Directors.In addition, nonpublic member schools providing financial assistance programs for athletes shall present to the Executive Director of the AAA by October 1 of each year, a statement signed by the school’s authorized representative with the following information:The total number of students enrolledThe number of students receiving aidThe number of students participating in athleticsThe number of students participating in athletics who are receiving aid?(The Princeton School Scholarship Service is the organization that determines need-based aid for families when students are applying to colleges for financial aid. ?It is an unbiased third party.) ?Rationale – Recruiting an athlete is a serious offense as it creates an unfair advantage.?Rule 4. BONA FIDE STUDENT. ?A student participating in interscholastic activities must be a bona fide student of the school; a bona fide student is one who has not graduated from a high school and who is enrolled in and attending regularly at least four academic courses in the high school. ?These courses shall be from those identified in the Arkansas Department of Education Standards of Accreditation. ?The Arkansas Activities Association in cooperation with the Arkansas Department of Education makes an exception to the bona fide student rule for students in the Arkansas School for Math and Science. ?Because the ASMS is an ADE accredited school, is a boarding school located in the Hot Springs School District and is a member of the Arkansas Activities Association, students from ASMS may participate at Hot Springs High School in those sports or activities not offered by the Arkansas School for Math and Science. ?Rationale – It is important that each athlete be a full time member of the student body. ?NOTE: ?Enrollment in academic classes in a college does not affect eligibility as long as the student is a bona fide student of a high school. ?NOTE: ?A local school may make an exception for a student in the last semester of the senior year provided the student is enrolled in and attending regularly at least one academic course and is meeting all requirements for graduation.?Rule 5. DROPOUTS. ?A student dropping out of school, suspended with no credit or expelled from school at any time during the school year must return to school and meet the scholarship requirements for one full semester.?Rationale – An athlete must re-establish his eligibility after dropping out by attending one semester before regaining eligibility.?Rule 6. SEMESTERS.?Junior High – A student repeating either the 7th or 8th grade for any reason shall not have the opportunity for eligibility during the complete year that is repeated.Senior High – A student is limited to eight consecutive semesters of opportunity for eligibility beginning with the student’s first enrollment in the 9th grade (or earlier as defined in Rule 7. ?Age Note).?Editor’s Note: ?A 9th grade student may compete for the junior high or for the Senior high, in the same member school district with separate campuses, with permission from the involved principals. ?(Refer to Bylaws, Art. II, Section 7, Rule 1 Classification of Students) If a 9th grade student competes for the junior high, the student may then compete for the senior high after the completion of that junior high sport season except for Class 7A as stated in the rule noted above. ?A 9th grade student may not compete for the senior high and then return and compete for the junior high in the same sport. ?Semesters are applied towards the limitations regardless of the following: ?if the school doesn’t offer a sport; if the student doesn’t participate; if a student isn’t eligible or, if the student’s earlier enrollment was in a different school system. ?NOTE: ?The 5th and 6th semesters (normally the 9th grade) are applied toward both the junior and senior high limitations. ?This is due to the rule allowing the school’s administration to permit a 9th grade student to participate at either level. ?(Refer to Bylaws, Art. II, Rule 1 of Section 7 – Classification of Students).?A 7th or 8th grade student who is ineligible for junior high athletics due only to the age rule may be eligible to participate in senior high. ?(Refer to Bylaws, Art. II, Rule 3 of Section 7 – Classification of Students).?Rationale – A student is limited to a total of 12 semesters of opportunity for eligibility upon entering the 7th grade. ?The final eight semesters shall be consecutive.?Rule 7. AGE.Junior High. ?A junior high student is not eligible for junior high competition if the student’s 16th birthday is on or before September 1.NOTE: ?In the year a student in junior high school becomes too old for junior high participation the student may be allowed to participate for the senior high, if all other eligibility rules are met.Senior High. ?A senior high student is not eligible for interscholastic participation if the student’s 19th birthday is on or before September 1.?Rationale – The age rule and the semester rule are both attempts to equalize competition among athletes in AAA member schools as well as to encourage athletes to graduate with their class.Rule 8. AMATEUR.?The amateur rule for eligibility in interscholastic athletics requires the student to engage in sports solely for the pleasure and physical, mental, or social benefit derived from participation in sports and to whom sport is nothing more than an avocation.The junior high or senior high student who violates the amateur rule in any of the AAA-sponsored sports may lose eligibility in that sport for up to one full year (365 days).Violations. ?A student may not:Compete under an assumed name.Accept monetary awards or compensation. ?This includes: ?cash, gift certificates, expenses for a trip or any other of this type award.Accept gifts or awards exceeding $100.00 in value unless the gifts or awards are given under the auspices of the school; however, the student may receive awards of equipment in golf, tennis and road races as permitted in the amateur rules of the USGA, the USTA, and USATF.Receive remuneration for coaching, instructing, or preparing any person for competition; except, he may receive from an organization offering instruction in sport skills to youth, monetary compensation on an hourly basis or as a salary for teaching basic skills.A student who has participated interscholastically may not permit his name, picture, or person to be used to advertise, recommend, or promote a firm or a product.?NOTE: ?An athlete may be names a player of the week or game and be presented a certificate or plaque provided there is no advertising connected with the picture or announcement.?NOTE: ?A team picture may appear on a calendar or poster. ?This indicates support for the school.?Compete with or against a professional except in:Pro-Am golf meets; when the scores of the professional and the amateur are not combined for a team score;Semi-professional baseball games; however, the student must compete within the definition of amateurism.Appear in a competition before or during a professional event except as approved by the Arkansas Activities Association. ?NOTE: ?Since it is impossible to cover all instances of possible violations to the amateur rule, it is suggested that the Executive Director be consulted in any questionable case.?Rule 12. PARTICIPATION ON NON-SCHOOL TEAMS?Team Sports.A student who is a member of a school’s athletic team and who has engaged in interscholastic competition may not try out for, practice with, or otherwise participate with, or be a member of a non-school athletic team in the same sport, in season, without losing eligibility for up to a full year (365 days) from the date of such participation with the non-school team.This limitation shall apply to the team sports of football, basketball, volleyball, baseball, softball, and soccer. ?However, a member of an interscholastic baseball, softball or soccer team may try out for or practice with a non-school team on days when the school team does not practice or play. ?This exception for baseball, softball and soccer shall not apply in weeks the school team is involved in AAA-sponsored championship tournaments.Participation on a non-school athletic team in the same sport in season shall define in season as the AAA established beginning date until the end of the state tournament in that sport for students in grades 10-12 and students in grade 9 who have participated interscholastically with the senior varsity team in the sports of football, volleyball, and basketball.Students in grades 7-8 and students in grade 9 who have not participated interscholastically on a senior varsity team shall have the end of season defined as when their school’s team is finished in each sport. A member of an interscholastic spirit team may not compete on a non-school team during the interscholastic spirit season.?SECTION 3. NON-COMPETITIVE SPIRIT TEAMS?Rule 1. Eligibility. ?A student participating as a member of a school’s non-competitive cheer or dance team must meet eligibility requirements for interscholastic non-athletic competitive activities. ?Exception: ?The semester rule for students in a 7-12 school shall be a total of twelve semesters.Rule 2. Physical Examination. ?In any year that a student tries out for or participates as a member of the school’s noncompetitive cheer or dance team, the student shall be required to present to the coach a physical examination verification prior to beginning an organized practice or workshop for tryouts which shall be valid for one calendar year.Rule 3. Student ParticipationOnly a school’s cheer team members are authorized to participate on the sidelines, floor, or field during an athletic contest except when dance/pom teams are authorized by the school administration.An individual who is designated as a part of the spirit team to stand or perform with the team on the sidelines, floor, or field during an athletic contest or spirit competition (ex: mascot) must meet all eligibility requirements of cheer and dance team members.Rule 4. Cheer Team Limitation at Regional/State Events. ?No more than twelve members of a school’s cheer team shall be permitted on the sidelines (floor) during play at regional and state basketball tournaments. ?The complete team may perform at full time-outs and between quarters and games.*NOTE – The above section is only a small excerpt from the Arkansas Activities Association Handbook. This handbook can be found online at the AAA website (). Any questions regarding a student-athlete’s eligibility should be directed to the sport’s coach or athletic director. Insurance InformationThe following facts should be fully understood by the parents and guardians of all Pea Ridge district athletics and students who participate in school sponsored activities in grades Kindergarten through 12th. The Pea Ridge School District has entered into a contractual agreement with Health Special Risk student resources for athletic and extracurricular insurance underwritten by Mutual of Ohama Insurance Company for students in grades Kindergarten through 12th. This coverage is for AAA sponsored activities including all AAA athletic events. Your child will be covered while participating in, practicing for and traveling to and from such an activity in a school furnished vehicle.Pea Ridge School District assumes no responsibility as a result of injuries that occur during an athletic or AAA event, however, this insurance is provided at school expense. This is a SECONDARY INSURANCE to whatever health insurance the parent / guardian has for their children, and all claims should be filed with the primary health insurance company and with Health Special Risk. You will need to indicate on the claim form the name and address of your regular insurance carrier.If the student has no health insurance, Health Special Risk will become the primary carrier and will pay accordingly. The parent or guardian should indicate on the claim form if they have no other health insurance.All policies have limitations. Health Special Risk will pay up to the amounts that are listed on the student brochure (see attached). Parents will be responsible for any amounts remaining after both the primary health insurance and Health Special Risk limitations have been reached.The Pea Ridge School District and its employees are NOT responsible for any costs for treatment to your child by any doctor. In case of an injury, it is the responsibility of the parent to file a claim form. These forms are available with the trainer or coach, or the Asst. Superintendent’s office located at 979 Weston Street. Claim forms can also be printed from Health Special Risk Students Resources’ website at . The coaches, trainers, sponsors or administrative personnel will be happy to help complete the form, however, no school district employee is responsible for filing your claim.As with any policy, there are policy exclusions. Please review the policy exclusions and limitations that are listed in the brochure. Treatment must begin within 30 days from the injury and claims must be filed within 90 days from the injury. Benefits will be paid for covered expenses incurred within 52 weeks from the date of the accident.Since the insurance is for AAA sponsored events only, you may wish to purchase the additional insurance that is available to your child. This should be purchased at the beginning of the school year. The At School Coverage provides coverage for injuries at school or during school-sponsored activities during the regular school year. The 24 Hour Coverage provides coverage 24 hours a day until one year after the date the school year begins. If you have any questions, feel free to call Kevin Ramey, athletic director, (800-451-0032).I have read and understand that the coverage provided by Pea Ridge School District has certain limitations and is considered primary coverage only if I have no other coverage for my child(ren). I further understand that Pea Ridge School District is not responsible for payment of any medical expenses not paid by Health Special Risk.?ACKNOWLEDGEMENT OF WARNING STATEMENTSBy Parents: We/I the parent do hereby acknowledge that we/I have been fully advised, cautioned and warned by the proper administrative and coaching personnel of the Pea Ridge School District that our/my child named above may suffer serious injury, including but not limited to sprains, fractures, brain damage, paralysis or even death, by participating in athletics.Notwithstanding such warnings, and with full knowledge and understanding of the risk of serious injury to our/my child, we/I give our consent for participation in athletics.I agree that the terms hereof shall serve as an ASSUMPTION OF RISKS AND RELEASE for all members of my family, for my heirs, estate, executor, administrator, assignees, indemnities, subrogates, or other releases; and I further agree that if any part of this ASUMPTION OF RISKS AND RELEASE is held void, the remainder shall continue in full force and effect.By Students: I hereby acknowledge that I have been properly advised, cautioned and warned by the proper administrative and coaching personnel of the Pea Ridge School District that by participating in athletics, I am exposing myself to the risk of sprains, fractures, and ligament and/or cartilage damage which could result in a temporary or permanent, partial or complete impairment of the use of my limbs; brain damage; paralysis; or even death. ?Having been so cautioned and warned it is still my desire to participate in athletics. ?I hereby further acknowledge that I do so with full knowledge and understanding of the risk of serious injury to which I am exposing myself by participating in athletics.I agree that the terms hereof shall serve as an ASSUMPTION OF RISKS AND RELEASE for all members of my family, for my heirs, estate, executor, administrator, assignees, indemnities, subrogates, or other releases; and I further agree that if any part of this ASUMPTION OF RISKS AND RELEASE is held void, the remainder shall continue in full force and effect.FIELD TRIP PERMITInasmuch as the administration and teaching staff of the Pea Ridge Schools will be assuming the supervisory responsibility of your son/daughter on a trip away from the school, we feel it is important that the student and the parents fully understand the rules which govern such trips. ?It is our feeling that a trip is a continuation of the school day and as such, students participating on these trips are subject to the rules and regulations which govern our school while they are on campus. ?Because the students will be representing Pea Ridge Schools, and because their conduct, behavior and safety are our responsibility, we have established the following guidelines, which must be adhered to while they are away from home.The luggage and personal effects of the students may be inspected prior to departing and at any time during the trip.Any student found to be in possession of, or under the influence of alcohol or controlled substances will be left home, if this determination is made prior to departure. ?Students found in possession of controlled substances or alcohol or under their influence after departure are subject to immediate arrest and being sent home at their parent’s expense.Students must observe all civil laws and regulations. ?Apprehension by law enforcement agencies leading to a substantiated charge will not be the responsibility of Pea Ridge Schools.If the trip requires overnight lodging, students will not disturb other guests at the lodging and will abide by all rules and directives issued by the group advisor and chaperones.In the event that you are injured or become ill while on the trip, the chaperone will immediately seek medical attention and contact your parents as soon as possible.Students will be expected to know and observe the time and location of all departures. ?The group will not be delayed by the tardiness of individuals.The establishment and enforcement of any guidelines not covered in items one to six, guidelines that are necessary to insure the success of the trip, will be left to the discretion of the administrator or his/her representative in charge.Any student caught in the infraction of the above listed rules may be sent home at the parent’s expense and will be subject to further disciplinary action by the action.Participation in a field trip is an extracurricular activity. ?It is a privilege that will be denied hereafter for a period of time to be specified by the group advisor and administration if, in their opinion, the group has misrepresented Pea Ridge Schools through inappropriate behavior.CONSENT TO OPERATION, ANESTHETICS AND OTHER MEDICAL SERVICESThis is to certify that I consent to the performance of any emergency surgical operations and other medical procedures which may be considered necessary by the medical doctors as a result of injury or other emergency during the current school year.USEFUL LINKSPea Ridge School District Website: ? Guide for College Bound Student Athletes: ? Eligibility Center: Activities Association: ? Federation of High School: ? RELEASE (FROM ATHLETIC EVENTS)0TRANSPORATION RELEASE (FROM ATHLETIC EVENTS)Athletes will be allowed to return home following an athletic contest by the following options:On school provided transportation. (bus)Athlete may be signed out by Parent/Legal guardian to ride home with them only.With prior written approval from parent/legal guardian, an athlete may be allowed to ride home with another family member only.Coaches will provide the most accurate time they can for the return of the buses from an athletic contest. ?Please be patient with us as sometimes we are delayed by unpredictable circumstances. ?(Overtime games, traffic, weather, injury, etc…)?I understand that the ability of the coaches and other school officials to properly supervise students may be impaired when students are not under their direct control. ?I agree that coaches should not be held accountable with students who are authorized to use alternative means of transportation. ?I understand that coaches reserve the right to refuse requests by players to leave their teams if, in the coaches opinions, it serves in the best interest of the individual or the program.Arkansas Activities AssociationConcussion Fact Sheet for Athletes and ParentsWHAT IS A CONCUSSIONA concussion is an injury that changes how the cells in the brain normally work. A concussion iscaused by a blow to the head or body that causes the brain to move rapidly inside the skull. Even a “ding”, “getting your bell rung,” or what seems to be mild bump or blow to the head can be serious. Concussions can also result from a fall or from players colliding with each other or with obstacles, such as a goalpost.WHAT ARE THE SIGNS AND SYMPTOMS OF A CONCUSSIONleft221615Observed by the Athlete? Headache or “pressure” in head? Nausea or vomiting? Balance problems or dizziness? Double or blurry vision? Bothered by light? Bothered by noise? Feeling sluggish, hazy, foggy, or groggy? Difficulty paying attention? Memory Problems? Confusion? Does not “feel right”00Observed by the Athlete? Headache or “pressure” in head? Nausea or vomiting? Balance problems or dizziness? Double or blurry vision? Bothered by light? Bothered by noise? Feeling sluggish, hazy, foggy, or groggy? Difficulty paying attention? Memory Problems? Confusion? Does not “feel right”right22860Observed by the Parent / Guardian,Coach, or Teammate? Is confused about assignment or position? Forgets an instruction? Is unsure of game, score, or opponent? Moves clumsily? Answers questions slowly? Loses consciousness (even briefly)? Shows behavior or personality changes? Can’t recall events after hit or fall? Appears dazed or stunned020000Observed by the Parent / Guardian,Coach, or Teammate? Is confused about assignment or position? Forgets an instruction? Is unsure of game, score, or opponent? Moves clumsily? Answers questions slowly? Loses consciousness (even briefly)? Shows behavior or personality changes? Can’t recall events after hit or fall? Appears dazed or stunnedWHAT TO DO IF SIGNS OF A CONCUSSION ARE PRESENT3342640129540Parent / Guardian? Seek medical attention? Keep your child out of play? Discuss play to return to play with coach? Address academic needs020000Parent / Guardian? Seek medical attention? Keep your child out of play? Discuss play to return to play with coach? Address academic needs95250304800Athlete? TELL YOUR COACH IMMEDIATELY? Inform parents? Seek medical attention? Give your self time to recover020000Athlete? TELL YOUR COACH IMMEDIATELY? Inform parents? Seek medical attention? Give your self time to recoverWHERE CAN I FIND OUT MORE INFORMATION?? Center for Disease Control concussion/HeadUp/youth.html? NFHS Free Concussion Course TO PLAY GUIDELINES1. Remove immediately from activity when signs/symptoms are present.2. Release from medical professional required for return (Neuropsychologist, MD,DO, Nurse Practitioner, Certified Athletic Trainer, or Physician Assistant)3. Follow school district’s return to play guidelines and protocol.0000 Welcome to the Hydration Parent Meeting Directions: Review the following information and complete the quiz below by circling the correct answer. Did you know…? ? 75% of the body is made up of water ? 92% of blood is made of water ? Water carries nutrients and oxygen to all the cells in your body ? Water helps turn food into energy ? Water regulates your body temperature ? You have a 10% decrease in your mental performance when you feel thirsty ? If you are dehydrated you are more likely to have trouble concentrating ? If you are well hydrated, exercise feels easier and more enjoyable So drink more water! How much do I need to drink? Take your weight and divide it by two. Everybody needs at least 50 ounces or water a day. If you weigh over 100 pounds, then divide your weight by two to determine how much to drink (for example, if you are 150 pounds you should drink 75 ounces per day). And if you are sweating, you should drink even more! When and what do I need to drink? You should drink water and other healthy liquids throughout the day. Sports drinks are great if you have been working out or playing sports. Soft drinks are not a healthy choice for hydration. Milk and juice are a great part of your diet, but they contain calories which you may need to keep an eye on for maintaining healthy weight. What’s the big deal? Dehydration is a common problem for many young athletes playing in heat. These conditions are not only dangerous, but are also fatal in some cases. You can die from these illnesses. Don’t take it lightly. It’s not cool to see how long you can practice without drinking water. It’s deadly. Three Degrees of Heat Illness: The three types of heat illness are Heat Cramps, Heat Exhaustion and the most serious and deadly form: Heat Stroke. All three of these types of dehydration are dangerous, and that is why it is so important to know the warning signs. Warning Signs! Dehydration is a very common problem, and young athletes can experience consequences of dehydration even if they are as little as 2% dehydrated. Here are some warning signs: ? Noticeable Thirst ? Muscle Cramps ? Weakness ? Decreased Performance ? Nausea ? Headache ? Fatigue ? Lightheaded or Dizzy ? Difficulty Paying Attention Then what? If you experience any of the previous symptoms, you need to take the following action: 1. Rest in a cool place 2. Drink a sports drink that contains the adequate amount of electrolytes. 3. Prevent dehydration in the future by consuming fluids before, during and after exercise. 4. Allow lots of time to rehydrate. Heat Exhaustion Symptoms of heat exhaustion include dizziness and fatigue, chills and rapid pulse. If you experience these symptoms, immediately: 1. Rest in a cool place. 2. Drink a sports drink. 3. Lie down with legs elevated to promote circulation 4. You should begin to feel better soon. If not, you may have heat stroke. Heat Stroke Heat Stroke is a medical emergency! If not treated fast and well, it can result in death! Symptoms include: ? Very High Body Temperature (rectal temperature over 104 degrees) ? Altered central nervous system function (confusion or unconsciousness) ? Healthy athletes collapse during intense exercise in the heat Cool-Out Heat Stroke Immediate cool-down procedure is very important for someone suffering exertional Heat Stroke. Quickly get the person into a cooling tub to get temperature down as quickly as possible. Put ice packs all over the body, take a cool shower, use wet towels or spray water. Remember that heat exhaustion gets better, but heat stroke just gets worse. Call 911, cool first and then transport. Ok, you know the facts, now what are you going to do about it? Know Your Sweat Rate Athletes need to know how much they sweat and how much to drink to replace it: Weigh in before and after practice and competition. Keep track of how much fluid you drink during workout. Combine the amount of weight lost with the amount of fluid consumed to know how much to drink to stay hydrated. Check your Urine If your urine is colored dark yellow like apple juice, you probably aren’t staying hydrated. It should be clear or light yellow--such as lemonade to know that you are drinking enough fluids. Hydrate, hydrate, hydrate ? You should always drink before, during and after practice. ? BEFORE gives you a head start. ? DURING gives you the energy to keep going. ? AFTER helps replace the lost fluids and electrolytes. Know WHAT to drink Water is always a good choice, but research has shown that sports drinks are best while working out. This is because sports drinks contain electrolytes, flavor to encourage you to drink and carbohydrates to send energy to your muscles. Avoid fruit juice, carbonated drinks, caffeine and energy drinks before or after activity. Speak Up! If you are feeling ill or need to rest, TELL YOUR COACH! Do not let these symptoms go by without saying something about it! Don’t worry your coach won’t think less of you and your teammates will respect you for protecting yourself. It is nothing short of dangerous and stupid to be quiet when you aren’t feeling well. So speak up! Heat Illness Prevention There are a lot of factors that can cause heat illness, but here are some simple tips to keep you safe. 1. Acclimation – an athlete needs two weeks to get acclimated to work-out routines. Drink lots of liquids, stay hydrated and take some time to get used to the sport you will be participating in. 2. Proper Rest – Parents and coaches should encourage breaks in shaded areas, practice during cooler times of the day, such as the evening or early morning. Practices must be modified based on the conditions of weather and time of year. 3. Dress Code – Wear light-colored and lightweight clothing that does not constrict your body. Temperature Awareness Keep track of the heat index and the risk during activities. The ‘heat index’ is a measurement of air temperature and humidity.1962150000GENERAL GUIDELINES FOR SPORTS HYGIENE, SKIN INFECTIONS ANDCOMMUNICABLE DISEASESNational Federation of State High School Associations (NFHS)Sports Medicine Advisory Committee (SMAC)Proper precautions are needed to minimize the potential risk of the spread of communicable disease and skin infections during athletic competition. These conditions include skin infections that occur due to skin contact with competitors and equipment. The transmission of infections such as Methicillin-Resistant Staphylococcus aureus (MRSA) and Herpes Gladiatorum, blood-borne pathogens such as HIV and Hepatitis B, and other infectious diseases such as Influenza can often be greatly reduced through proper hygiene. The NFHS SMAC has outlined and listed below some general guidelines for the prevention of the spread of these diseases. Universal Hygiene Protocol for All Sports: ? Shower immediately after every competition and practice. ? Wash all workout clothing after each practice. ? Wash personal gear (knee pads and braces) weekly. ? Do not share towels or personal hygiene products (razors) with others. ? Refrain from full body (chest, arms, abdomen) cosmetic shaving. Infectious Skin Diseases Strategies for reducing the potential exposure to these infectious agents include: ? Athletes must be told to notify a parent or guardian, athletic trainer and coach of any skin lesion prior to any competition or practice. An appropriate health-care professional should evaluate any skin lesion before returning to competition.Pea Ridge School District Athletic DepartmentStudent-Athlete InformationIn case of injury or serious illness, I hereby grant permission for school employees to secure medical services for the student below throughout grades 7-12.Athlete Name - _______________________________________ Grade - _____ ?DOB - ___________Parents and/or Guardian’s Name - ______________________________________________________Home Address - _____________________________________________________________________City_______________________State___________Zip Code________________Athlete Cell Number - (____)_____________________?Sport(s)______________________________Mother (cell) - (____)____________________ Mother (work) – (____)_________________Father (cell) – (____)_____________________Father (work) – (____)__________________Athlete Email - ____________________________Parent Email - ______________________________Alternate Contact in case of emergency __________________________________________________ Number - _________________Relationship - ______________________________________PRIMARY INSURANCE INFORMATION:Primary Health Insurance Carrier_________________________ Preferred Hospital_________________Group Number - ____________________I.D. Number - _________________________________Family Physician___________________________Office Number__________________________List of medications currently taking_______________________________________________________List of any medical concerns (diabetes, heart trouble, epilepsy, etc.)________________________________________________________________________________Are you allergic to any medications? Yes / No If Yes, List Medications ____________________________________________________________________________________?Pea Ridge School District Athletic DepartmentStudent-Athlete & Parent/Guardian Signature FormAcknowledgement of Injury Risks- Preparation for and participation in interscholastic athletics involves the risk of injuries ranging from minor to severe. By signing this form, parents/guardians acknowledge their understanding of these risks and indicate continued interest in participation.Athletic Insurance Information- The student-athlete’s individual or family primary insurance will be responsible for medical coverage; however, the Pea Ridge School District does provide limited athletic insurance which serves only as secondary insurance. The Pea Ridge School District will NOT be responsible for the payment of medical expenses beyond those payments made by the district’s insurance company.Athletic Trainer Release- Northwest Health Sports Medicine provides athletic trainers who may provide healthcare and treatment for team members. This could necessitate the sharing of healthcare- related information with coaches, school administration, and medical personnel for treatment and training. Additionally, I authorize the athletic trainer to administer medication to my child including Antacid-plain, Chloraseptic throat spray, Ibuprofen, Acetaminophen (Tylenol), and Anti-nausea medication, as needed.Emergency Release and Contact Information- In all situations requiring medical treatment whether minor or emergency, effort will be made to contact parents or guardians. However, in the event of a medical emergency, district personnel are authorized to seek medical care at the nearest medical facility appropriate to the squad member’s injury or illness. Therefore, parent/guardian authorization and emergency medical notification information are required.Concussion, Heat/Hydration/Infectious Disease Issues- I acknowledge that I have received, reviewed, and understand the attached AAA Concussion in Sports Fact Sheet for Athletes and Parents, Heat and Hydration for Athletes and Infectious Disease Issues in Sports. I also acknowledge and I understand the risks of brain injuries associated with participation in school athletic activity. I also understand that it requires a team approach between the coach, parent, and athlete to properly hydrate to prevent heat illness. The information presented is to provide you with the knowledge you need to help the athletic staff keep your child safe at practices and games. Acknowledgment, Permission to Participate, Release PermissionI/We give permission for ______________________ to participate in organized school athletics, realizing that such activity involves the potential for injury that is inherent in all sports. I/We acknowledge that even with the best coaching, use of the most advanced protective equipment, and strict observance of rules, injuries are still a possibility. On rare occasions, these injuries can be so severe as to result in total disability, paralysis, or even death.Drug Testing ReleaseI, parent or legal guardian, do understand that my minor child will submit to testing for the presence of drugs, and my consent is hereby given for my minor child to be tested by the Pea Ridge school District and described by this form.I understand that test results, written or otherwise, received through the Pea Ridge School District shall be kept confidential, and, without consent, may only be released to the Pea ridge School District and Pea Ridge School District Board of Education.I understand that I will be entitled to be informed, upon written request and confirmation of identity, of any test results by the Pea Ridge School District performed upon my minor child.I, player or athlete, do understand that I will submit to testing for the presence of drugs, and my consent is hereby given for the release of such testing results to my parent(s) or legal guardian (s) in addition to those instances and person provided by the Pea Ridge School District and Pea Ridge School District Board of Education. ?I understand that my parent or legal guardian’s consent for me to submit to testing is being sought, and is approved with his or her signature of this packet.I understand that test results, written or otherwise, received through the Pea Ridge School District shall be kept confidential, and , without consent, may only be released to the Pea Ridge School District and Pea Ridge School District Board of Education. ?Further, I understand that any and all test results shall be the property of the Pea Ridge School District.I understand that my parent (s) or legal guardian (s) will be entitled to be informed, upon written request and confirmation of identity, of any test results by the Pea Ridge School District and consent to release such results.I/We have read the Pea Ridge Athletic Handbook, and agree to the policies, rules, and guidelines presented and agree to abide by the policy information. I/We further state that the above mentioned athlete meets all eligibility requirements of the Arkansas Activities Association. I/We have been advised of and agree with the acknowledgment of risk, athletic insurance information, athletic trainer release, emergency release and contact information, and information regarding concussion, heat illness, and infectious diseases. __________________________________________________________________________________Parent/Guardian SignatureParent/Guardian Printed NameDate__________________________________________________________________________________Student-Athlete SignatureStudent-Athlete Printed NameDate ................
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